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Musicoterapia para el manejo de la ansiedad en infantes con trastorno del desarrollo intelectual leve.

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Title: Musicoterapia para el manejo de la ansiedad en infantes con trastorno del desarrollo intelectual leve.
Alternate Title: Music therapy for anxiety management in children with mild intellectual developmental disorder.
Authors: Morales-Jiménez, Fátima1 faty.mora22@gmail.com, Miranda-Ortiz, Juan Carlos2, Hernández-Díaz, Nury3, Hernández-Abreu, Karina Esther4
Source: Revista Oral. sep-dec2026, Vol. 27 Issue 85, p2629-2634. 6p.
Subjects: Music therapy, Anxiety treatment, School children, Learning disabilities, Alternative medicine, Vital signs, Fear of dentists
Abstract (English): Introduction. Dental anxiety poses a barrier to dental care for pediatric patients with mild intellectual developmental disorder (IDD), due to difficulties with emotional regulation, communication, and adaptation to the clinical setting. Music therapy is a nonpharmacological strategy with the potential to promote a more regulated emotional and physiological response during dental care. Objective. To determine the effect of music therapy on anxiety levels and physiological parameters in children with mild IDD during dental prophylaxis. Methodology. A quantitative, analytical, quasi-experimental, longitudinal, and prospective study was conducted on 30 participants aged 12 to 15 years, enrolled in a Centro de Atención Múltiple. Dental anxiety was assessed using the Modified Dental Anxiety Scale (MDAS). Blood pressure and heart rate were recorded before and after the intervention. During dental prophylaxis, Andreas Vollenweider's instrumental track Despierto by was played continuously. Data were analyzed using descriptive statistics, the Kolmogorov-Smirnov normality test, and Student's t-test paired samples were applied, with a statistical significance set at p ≤ 0.05. Results. The mean MDAS anxiety score decreased from 14.56 to 12.43 points (mean difference: 2.13; 95% CI: 1.03-3.23; p = 0.0004; d = 0.72). Significant decreases were also observed in systolic blood pressure (p = 0.015) and heart rate (p = 0.011), whereas diastolic blood pressure showed no statistically significant difference (p = 0.109). Conclusions. Music therapy had a favorable effect on reducing dental anxiety, systolic blood pressure, and heart rate in children with mild IDD during dental prophylaxis and may be considered a complementary non-pharmacological strategy in this clinical setting. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción. La ansiedad dental constituye una barrera para la atención odontológica de pacientes pediátricos con trastorno del desarrollo intelectual (TDI) leve, debido a dificultades en la regulación emocional, la comunicación y la adaptación al entorno clínico. La musicoterapia representa una estrategia no farmacológica con potencial para favorecer una respuesta emocional y fisiológica más regulada durante la atención dental. Objetivo. Determinar el efecto de la musicoterapia sobre los niveles de ansiedad y los parámetros fisiológicos en infantes con TDI leve durante la profilaxis dental. Metodología. Se llevó a cabo un estudio cuantitativo, analítico, cuasiexperimental, prospectivo y longitudinal en 30 participantes de 12 a 15 años, adscritos a un Centro de Atención Múltiple (CAM). La ansiedad dental se evaluó mediante la Modified Dental Anxiety Scale (MDAS). Se registraron presión arterial y frecuencia cardiaca antes y después de la intervención. Durante la profilaxis dental se reprodujo continuamente la pista instrumental Despierto de Andreas Vollenweider. Se aplicaron estadística descriptiva, prueba de normalidad de Kolmogorov- Smirnov y prueba t de Student para muestras relacionadas, con significancia de p ≤ 0.05. Resultados. La media de ansiedad MDAS disminuyó de 14.56 a 12.43 puntos (diferencia media: 2.13; IC 95%: 1.03-3.23; p = 0.0004; d = 0.72). También se observó una disminución significativa de la presión arterial sistólica (p = 0.015) y de la frecuencia cardiaca (p = 0.011). La presión arterial diastólica no evidenció diferencias estadísticamente significativas (p = 0.109). Conclusiones. La musicoterapia mostró un efecto favorable en la reducción de la ansiedad dental, la presión arterial sistólica y la frecuencia cardiaca en infantes con TDI leve durante la profilaxis dental, por lo que puede considerarse una estrategia complementaria no farmacológica en este contexto clínico. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Introduction. Dental anxiety poses a barrier to dental care for pediatric patients with mild intellectual developmental disorder (IDD), due to difficulties with emotional regulation, communication, and adaptation to the clinical setting. Music therapy is a nonpharmacological strategy with the potential to promote a more regulated emotional and physiological response during dental care. Objective. To determine the effect of music therapy on anxiety levels and physiological parameters in children with mild IDD during dental prophylaxis. Methodology. A quantitative, analytical, quasi-experimental, longitudinal, and prospective study was conducted on 30 participants aged 12 to 15 years, enrolled in a Centro de Atención Múltiple. Dental anxiety was assessed using the Modified Dental Anxiety Scale (MDAS). Blood pressure and heart rate were recorded before and after the intervention. During dental prophylaxis, Andreas Vollenweider's instrumental track Despierto by was played continuously. Data were analyzed using descriptive statistics, the Kolmogorov-Smirnov normality test, and Student's t-test paired samples were applied, with a statistical significance set at p ≤ 0.05. Results. The mean MDAS anxiety score decreased from 14.56 to 12.43 points (mean difference: 2.13; 95% CI: 1.03-3.23; p = 0.0004; d = 0.72). Significant decreases were also observed in systolic blood pressure (p = 0.015) and heart rate (p = 0.011), whereas diastolic blood pressure showed no statistically significant difference (p = 0.109). Conclusions. Music therapy had a favorable effect on reducing dental anxiety, systolic blood pressure, and heart rate in children with mild IDD during dental prophylaxis and may be considered a complementary non-pharmacological strategy in this clinical setting. [ABSTRACT FROM AUTHOR]
ISSN:1665143X